Culturally Re-Centering Contingency Management and Behavioral Economics to Increase Engagement with American Indian Young Adults

项目摘要 此指导研究科学家开发(K01)应用程序将为应聘者提供必要的 成为一名专注于酒精开发和实施的独立调查员的技能 针对美国印第安人(AI)年轻人的滥用干预。K01中的活动包括利用 以社区为基础的参与性研究，以文化为中心重新定位应急管理酒精干预 它结合了基于技术的参与战略和行为经济理论模型，以 增加18-29岁人工智能的留存率。支持职业和研究目标的实现 候选人精心组建了一个专家团队，在文化上量身定做药物使用障碍领域 人工智能人群中的治疗，社区参与式研究，行为经济学，应急 管理和技术在年轻人中提供酒精干预(Kamilla Venner博士；Nina 沃勒斯坦、詹姆斯·墨菲、马修·皮尔森、迈克尔·麦克唐纳和J·斯科特·托尼根)。候选人的 培训目标包括：1)获得内容知识以发展基于文化的酒精使用障碍 干预和应用人工智能社区的行为经济学理论模型；2)利用技术 提供酒精使用障碍干预措施；3)加强混合方法、纵向方法和 高级统计分析；4)助学金写作。与一个农村保留地社区合作， 候选人将对高危饮酒者实施增强的应急管理(CM)干预(审计 &gt；8)18-29岁，重点是提高治疗出勤率和参与无物质治疗 活动。这一目标将分两个阶段实现，第一阶段包括建立一个共同体 将指导研究并协助开展四个重点小组(每个小组8人)的咨询委员会 与年轻人、提供者和文化领袖进行了20次半结构化访谈，以确定形式和 以文化为中心的治疗和参与CM和无物质活动的方法的结构。 第二阶段将包括为期12周的两组随机对照试验(n=60)，比较标准CM和重新居中CM 再加上。固定评估将在基线以及4、8和12周进行，增强的CM情况将 使用移动设备评估第10-12周的无物质活动。研究目标将涉及(1)是否 奖励参加治疗和戒酒会增加记忆力和戒酒率，以及(2)评估 日常社区恢复替代方案和参与无物质活动。作为探索性分析， 我们还将评估次要结果，以确定对计划的 干预。总的来说，职业发展和研究活动紧密结合并相互作用 这为赫恰克博士成为一名独立调查员提供了一个理想的平台。

Project Summary This Mentored Research Scientist Development (K01) application will provide the candidate with the necessary skills to become an independent investigator focused on the development and implementation of alcohol misuse interventions for American Indian (AI) young adults. The activities in the K01 include utilizing community-based participatory research to culturally re-center a Contingency Management alcohol intervention that combines technology-based engagement strategies and behavioral economic theoretical models to increase retention of AI 18-29 year olds. To support the achievement of career and research goals the candidate has carefully assembled a team of experts in the areas of culturally tailoring substance use disorder treatments among AI people, community-based participatory research, behavioral economics, Contingency Management and technology delivered alcohol interventions among young adults (Drs. Kamilla Venner; Nina Wallerstein; James Murphy; Matthew Pearson; Michael McDonell and J. Scott Tonigan). The candidate’s training goals include: 1) Acquire the content knowledge to develop culturally grounded alcohol use disorder interventions and apply behavioral economic theoretical models with AI communities; 2) Harness technology in the delivery of alcohol use disorder interventions; 3) Strengthen expertise in mixed, methods longitudinal and advance statistical analyses; and 4) Grant writing. In partnership with a rural reservation community, the candidate will implement an enhanced Contingency Management (CM) intervention for at risk drinkers (AUDIT > 8) aged18-29 year old, with a focus on enhancing treatment attendance and engagement in substance free activities. This objective will be achieved in two phases, with Phase I consisting of establishing a Community Advisory Board that will guide the research and assist with conducting four focus groups (n = 8 per group) and twenty semi-structured interviews with young adults, providers and cultural leaders to identify the form and structure of a culturally centered approach to treatment and engagement in CM and substance-free activities. Phase II will involve a 12-week two-group RCT (n = 60) that compares standard CM with the re-centered CM plus. Fixed assessments will occur at baseline and at 4, 8, and 12-weeks and the enhanced CM condition will employ mobile devices to assess substance free activities weeks 10-12. Study aims will address (1) whether rewarding treatment attendance and alcohol abstinence increases retention and abstinence, and (2) assess daily community recovery alternatives and engagement in substance-free activities. As an exploratory analysis, we will also assess secondary outcomes to determine responders and non-responders to the planned intervention. Collectively, career development and research activities are tightly integrated and mutually supportive thus offering an ideal platform for Dr. Hirchak to become an independent investigator.